Abstract

Objective: To formulate a protocol for safe and effective management of an ophthalmologic practice in a hospital or a clinic during the Covid - 19 pandemic. Methods and analysis: Literature was reviewed regarding Covid-19 pandemic and ophthalmology. The following key words were used. Covid-19, telemedicine, challenges, management strategy. Result: An efficient protocol for ophthalmology practice during the Covid-19 pandemic was established which covered various protective measures that are essential and vital in the Covid-19 pandemic. Conclusion: An evidence-based protocol was formulated which may be modified in future as per the latest developments and trends in the ongoing pandemic.

Highlights

  • Since late 2019 and continuing for a foreseeable future, SARS-CoV2 has interrupted every aspect of medical care globally

  • An evidence-based protocol was formulated which may be modified in future as per the latest developments and trends in the ongoing pandemic

  • Another maneuver done routinely in an ophthalmology clinic is the evertion of eyelids which is done for visualization of the fornices, palpebral conjunctiva which are vital in the examination of a patient of conjunctivitis, foreign Body in eye, delineation of a hemorrhage and various other ocular pathologies

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Summary

Introduction

Since late 2019 and continuing for a foreseeable future, SARS-CoV2 has interrupted every aspect of medical care globally. Another maneuver done routinely in an ophthalmology clinic is the evertion of eyelids which is done for visualization of the fornices, palpebral conjunctiva which are vital in the examination of a patient of conjunctivitis, foreign Body in eye, delineation of a hemorrhage and various other ocular pathologies This maneuver increases chance of transmission of infection via ocular secretions if adequate precautions are not taken. Each patient visiting the ophthalmology clinic requires evaluation using multiple contact based equipment like autorefractometer, non-contact tonometer, slit lamp, IOL machines, OCT which require the patient to be aptly positioned by placement of chin on the chin rest and forehead touching the forehead rest This acts as potential sources of infection both for other patients and ophthalmologists

Routine use of reusable equipments
Atypical symptoms
Use of PPE
General infection control
Administrative measures
Specific measures
Findings
Conclusion
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